Provider Demographics
NPI:1952850901
Name:WALKER-HENRY, NATALEE (RN)
Entity Type:Individual
Prefix:MRS
First Name:NATALEE
Middle Name:
Last Name:WALKER-HENRY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:986 BURKE AVE
Mailing Address - Street 2:#2B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-3836
Mailing Address - Country:US
Mailing Address - Phone:646-748-8683
Mailing Address - Fax:
Practice Address - Street 1:986 BURKE AVE
Practice Address - Street 2:#2B
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-3836
Practice Address - Country:US
Practice Address - Phone:646-748-8683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-30
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY722649-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse